STUDI KOMPARASI METODE SKRINING GIZI PADA PASIEN DEWASA RAWAT INAP Kajian Simple Nutrition Screening Tool, Nutrition Risk Screening 2002, Malnutrition Screening Tool, dan Malnutrition Universal Screening Tool di Yogyakarta
| Main Authors: | , RIZKI ANDINI, , Dr. Susetyowati, DCN, M.Kes. |
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| Format: | Thesis NonPeerReviewed |
| Terbitan: |
[Yogyakarta] : Universitas Gadjah Mada
, 2014
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| Subjects: | |
| Online Access: |
https://repository.ugm.ac.id/132326/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=72854 |
Daftar Isi:
- Background. Hospital malnutrition is one of health problems being concerned by either developed or developing countries. There has to be a detection of malnutrition risk by the time of patient admission to hospital in order to give the early proper nutrition implementation. Nowadays, a lot of nutrition screening tools have been developed for hospital setting but not all of them are easy to use and compatible with any condition of patients. In Indonesia, a recently-developed Simple Nutrition Screening Tool (SNST) has good validity and reliability for adult hospitalized patients. Another study of SNST needs to be done in a different type of hospital from the earlier one where SNST was being developed at. The objective of this study is to assess whether SNST is the best nutrition screening tool to detect malnutrition risk among adult hospitalized patients. Methods. This study is observational and the design is cross-sectional. Two hundred and eighty seven adult patients admitted to 2 nd and 3 rd class of surgical, internal, or neurology ward of RSUD Sleman were included as research subjects. Independent variables of this study are SNST, NRS-2002, MST, and MUST. Dependent variables are SGA as gold standard, BMI, MUAC, and Hb concentration. Contingency table and ROC curve were used for measuring validity of each screening tools. The proportion difference between at-risk group and not at-risk group was assessed by Chi-square test. The mean difference of BMI, MUAC, and Hb concentration between at-risk group and not at-risk group was assessed by independent sample t-test for normally distributed data or Mann Whitney u-test for abnormally distributed data. Results. SNST has highest validity compared to NRS-2002, MST, and MUST with Sensitivity 99,0%, Specificity 84,5%, MSSS 183,5%, and AUC 0,917. Based on SNST screening, the proportion difference of at-risk group and not at-risk group between surgical patients and internal-neurology patients was statistically significant (p<0,05)